NPI | 1477735439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101254293) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY C4250) |
207R00000X Internal Medicine (Licence: AZ 75451) | |
208M00000X Hospitalist (Licence: MD D69198) | |
Enumeration Date | 2007-12-03 |
Last Update Date | 2025-09-26 |